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Vertex Headache

How Chinese medicine differentiates vertex headache — pain at the very top of the head, the territory of the Liver channel — into the five patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Headache, Migraine and Occipital Headache pages by location. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. A sudden, severe 'worst headache of your life,' or one with fever, stiff neck, vision changes, or after head trauma, needs prompt medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for vertex headache — 8 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Subdues Liver-Yang. Extinguishes interior Wind.
DU-20Extinguishes interior Wind. Subdues Liver-Yang. Raises Yang.
G.B.-20Expels exterior Wind. Extinguishes interior Wind. Subdues Liver-Yang. Clears Heat.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
BL-18Resolves Damp-Heat. Moves Liver-Qi and eliminates stagnation. Nourishes Liver-Blood.
ST-40Resolves Phlegm and Dampness. Calms the Mind and opens the Mind's orifices.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
The Five Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Yang Rising View full pattern →

Clinical manifestations: Throbbing or distending vertex pain worse with stress/anger, dizziness or vertigo, irritability and short temper, flushed face and red eyes, insomnia with vivid dreams, dry mouth and throat.
Tongue: Red body with red sides, thin dry yellow or scanty coat. Pulse: Wiry, possibly fine and rapid.
Treatment principle: Calm the Liver and anchor Yang, clear Heat, expel interior Wind.
Note: no moxa. Direct exact-name match with this site's own Liver-Yang-rising slide.

2. Stagnation of Cold in the Liver Channel View full pattern →

Clinical manifestations: Cold, aching vertex pain improved by warmth, vomiting of clear watery fluids, cold hands and feet, pale chilly appearance, pain worsens with cold exposure.
Tongue: Pale body with white, slippery coating. Pulse: Deep, wiry, slow or tight.
Treatment principle: Warm the Liver channel, dispel Cold, direct rebellious Qi downward.
Note: moxa applicable despite the reducing method (Cold calls for warming even while the channel obstruction is cleared). Direct match with this site's own Stagnation-of-Cold-in-the-Liver-channel slide — its own clinical text explicitly names "vertical headache" and "vomiting of clear watery fluid" among its symptoms, a genuine word-for-word overlap with this pattern rather than the genital-only presentation that slide is more often associated with.

3. Liver Blood Deficiency View full pattern →

Clinical manifestations: Dull, lingering vertex pain worsened by fatigue/overwork, dizziness and blurred vision, pale appearance, easily fatigued, dry eyes, pain improves with rest/sleep.
Tongue: Pale body (especially sides), thin slightly dry with thin white coating. Pulse: Fine and choppy, possibly wiry at the left Guan position.
Treatment principle: Nourish Liver Blood, tonify, alleviate pain through nourishment.
Note: moxa applicable on SP-6/BL-18. Direct exact-name match with this site's own Liver-Blood-deficiency slide.

4. Damp-Phlegm

Clinical manifestations: Heavy, wrapped sensation at the vertex, dizziness and brain fog, nausea or vomiting, thick white greasy tongue coating, chest stuffiness and poor appetite, worsens with damp/humid weather.
Tongue: Pale, swollen body with scalloped edges, thick white greasy wet coating. Pulse: Slippery.
Treatment principle: Transform Wind-Phlegm, strengthen the Spleen, resolve Dampness, lift clear Yang.
Note: no moxa. This site has no plain excess Damp-Phlegm/middle-burner-obstruction slide distinct from the Liver-Qi-stagnation-combined version, a gap also confirmed on the SIBO and BPPV pages this session — no pattern link is given here; points still link fine individually.

5. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain at the vertex, worse at night, dark purple tongue with stasis spots, history of head trauma, worsens with cold exposure, improves with warmth/gentle movement.
Tongue: Dark purple body with stasis spots, distended dark sublingual veins. Pulse: Choppy.
Treatment principle: Invigorate Blood, dispel stasis, open orifices, unblock channels.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide.
Related conditions

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